Obesity has reached epidemic proportions globally and the situation is likely to deteriorate further. It is well known that obesity predisposes individuals to a range of serious health complications with high morbidity rates including insulin resistance, type 2 diabetes mellitus, and cardiovascular diseases ( 1 ). The mechanisms underlying the progression from obesity to insulin resistance and, ultimately, type 2 diabetes are not fully elucidated ( 2 ). It is speculated that excessive FFA mobilization from adipose tissue leads to an increase in plasma FFA with ectopic deposition of triglycerides in muscle, the liver, and the pancreas as a result. The increased intramyocellular lipid (IMCL) content could disturb muscle insulin signaling, which ultimately results in muscle insulin resistance ( 3 ).Alpha lipoic acid (ALA), also known as thioctic acid, is a naturally occurring short-chain fatty acid with a powerful antioxidant capacity. It is synthesized in small amounts by plants and animals, including humans ( 4, 5 ). Endogenously synthesized ALA is an essential cofactor for several mitochondrial enzyme complexes that catalyze critical reactions related to energy production ( 6 ). ALA can also be exogenously derived from various food sources such as toAbstract Skeletal muscle triglyceride accumulation is associated with insulin resistance in obesity. Recently, it has been suggested that ␣ lipoic acid (ALA) improves insulin sensitivity by lowering triglyceride accumulation in nonadipose tissues via activation of skeletal muscle AMP-activated protein kinase (AMPK). We examined whether chronic ALA supplementation prevents muscular lipid accumulation that is associated with high-fat diets via activation of AMPK. In addition, we tested if ALA supplementation was able to improve insulin sensitivity in rats fed low-and high-fat diets (LFD, HFD). Supplementing male Wistar rats with 0.5% ALA for 8 weeks signifi cantly reduced body weight, both on LFD and HFD ( ؊ 24% LFD+ALA vs. LFD, P < 0.01, and ؊ 29% HFD+ALA vs. HFD, P < 0.001). Oil red O lipid staining revealed a 3-fold higher lipid content in skeletal muscle after HFD compared with LFD and ALA-supplemented groups ( P < 0.05). ALA improved whole body glucose tolerance ( ف 20% lower total area under the curve (AUC) in ALA supplemented groups vs. controls, P < 0.05). These effects were not mediated by increased muscular AMPK activation or ALA-induced improvement of muscular insulin sensitivity. To conclude, the prevention of HFD-induced muscular lipid accumulation and the improved whole body glucose tolerance are likely secondary effects due to the anorexic nature of ALA. -Timmers, S., J. Abbreviations: ACC, acetyl-CoA carboxylase; ALA, ␣ lipoic acid; AMPK, AMP-activated protein kinase; AUC, area under the curve; % E, % energy; HFD, high-fat diet; IMCL, intramyocellular lipid; IpGTT, intraperitoneal glucose tolerance test; LFD, low-fat diet; OLETF, Otsuka Long Evans Tokushima Fatty.